MS. CAROL V GRAHAM (NPI# 1174618961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174618961 |
| Entity Type | Individual |
| Full Name | MS. CAROL V GRAHAM |
| Credential | M.A.CCC-SLP |
| Practice Address |
1222 E Wayne St S South Bend IN 46615-1049 |
| Practice Telephone | 5742340317 |
| Mailing Telephone | 5742340317 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22002125A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1629454657 | Carol Graham | Case Manager/Care Coordinator | 12450 Ne 91st Ct, Archer, FL 32618-6119 | 2015-07-31 |
| 1437458387 | Carol J Graham | Rehabilitation Practitioner | 8683 W Sahara Ave, Suite 211, Las Vegas, NV 89117-5878 | 2011-03-17 |
| 1831474592 | Carol Graham | Social Worker | 131 W Broad St, Rochester, NY 14614-1103 | 2011-10-13 |
| 1780740175 | Carol A. Graham | Advanced Practice Midwife | 5201 Harry Hines Blvd, Wish Tubal Clinic, Dallas, TX 75235-7708 | 2006-12-29 |
| 1194723197 | Carol F Graham | Family Medicine | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2005-07-13 |
| 1669476370 | Carol Ann Graham | Obstetrics & Gynecology | 226 S Woods Mill Rd, Ste 55w, Chesterfield, MO 63017-3662 | 2005-06-09 |
| Street Address |
1222 E WAYNE ST S |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831009 | Jessica Brickman | Speech-Language Pathologist | 736 Portage Ave Apt 4, South Bend, IN 46616-1371 | 2020-08-13 |
| 1578018859 | Heather Hetler | Speech-Language Pathologist | 210 S Hawthorne Dr, South Bend, IN 46617-3441 | 2016-08-17 |
| 1326488198 | Ashley D Bragg | Speech-Language Pathologist | 2610 Eisenhower Ave, South Bend, IN 46615-3421 | 2013-06-26 |
| 1487932539 | Patricia E Horvath | Speech-Language Pathologist | 59960 Red Fox Ct, South Bend, IN 46614-4033 | 2011-07-22 |
| 1447567599 | Marcie B Kloosterman | Speech-Language Pathologist | 23375 Amber Valley Dr, South Bend, IN 46628-8139 | 2010-09-10 |
| 1932293271 | Elizabeth A Early | Speech-Language Pathologist | 2012 Ironwood Cir, South Bend, IN 46635-1888 | 2006-10-03 |
| 1467068403 | Alexandra Rae Lertola | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1598371478 | Erica Doyle | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1891345443 | Valerie Ann Brubaker | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-09-16 |
| 1356909758 | Kaitlyn Fleming | Speech-Language Pathologist | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2019-05-31 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on MS. CAROL V GRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.